Organization
THOMAS J HUBBARD OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOHN HUBBARD OD (PRESIDENT)
(248) 231-9543
Entity
Organization
Contact information
Practice address
12 E 14 MILE RD, MADISON HEIGHTS, MI 48071-1301
(248) 231-9543
(248) 850-7146
Mailing address
12 E 14 MILE RD, MADISON HEIGHTS, MI 48071-1301
(248) 231-9543
(248) 850-7146
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184030504
NPI
—
01
—
4901004843
LICENSE NUMBER
MI
Enumeration date
01/25/2022
Last updated
01/25/2022
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